Coronary Artery Disease urgent help

[Manikandanravi]

Hi,

My father has been admitted in hospital last week for heart attack and he has been discharged from hospital today.

Below is the summary of report and doctors have different view on the same.

Angiogram Report:

LAD : Type III vessel and calcified. generalised ectasia with multiple lesions. Ostwald LAD 40% stenosis. Proximal LAD has 50% Stenosis.  Mid LAD has 70% stenosis. ( Tandem lesions). diagonals have moderate diffuse disease.

LCX : Generalized ecstasia with 90% stenosis followed by total occlusion in he distal segment.

RCA : dominant vessel and has proximal to distal diffuse disease with 90% stenosis in the crux. PDA and PLV are small vessels.

LIMA : Normal

Impression : recent AWMI -Lysed with tenecteplase
Coronary artery disease
Triple vessel calcified disease
diabetes myelitis / hypertension


Doctor 1: CABG to LAD, OM and PDA
Doctor 2: To continue medical Management
doctor 3: CABG required but it is very critical operation considering the blocks etc.

I am bit confused how to proceed further.is it a critical CABG ?

[Manikandanravi]

Thanks for your words. This gives me lot of confidence than the doctors whom I approached. You are a man with miracle and my wishes for you to lead a healthy life for rest of your life..

We were asked to take stress thallium test and we wold be taking in a weeks time. My father is normal and he takes lot of precaution in food and completely changing his lifestyle. Infact he was very happy to know about your story and it gives a positive vibrations to his artery :-)

[ed34]

Oh this is a question that is very difficult to answer.  After my critical stents closed up in 2009 I was basically told there was nothing else could be done and I would just have to wait and see what happened. It was explained how the left side of my heart would be gradually dying. Here I am in 2014 basically in the same situation. Nobody can say how long any of us have. His body may keep him going for another 2 years or 20 years, only God knows. The medications (blood pressure, beta blockers and statins) along with lots of fruit and veg with little meat will make a huge difference. Another key issue which has definitely been a big factor in my life is stress, emotional stress. Some people worry about little things and the more that you can stay relaxed, the healthier the arteries will stay. A checkup in a months time is ok, but the one who knows more than anyone is your Father. For example, I'm always keeping mental notes of activities. If I climb a set of stairs I am always comparing to how I felt after I last used them. If I feel more short of breath, then I will make a note. Some days seem worse than others which can get a little confusing so you learn to do it by averages. If I climb stairs soon after waking up, it's much harder than the evening. In the evening I can run up the stairs with less effect. In the mornings I can walk slowly and be short of breath. So I just remember the patterns. If I panicked at every change, I would be in hospital every two days. One day I may feel a little odd, but the next feel much stronger. Anything from the amount of food you eat to the temperature of the air has an effect.Over time he will recognise all these patterns and see them as normal. It is also key that he has anticoagulation medication too, to stop clots. With the artery walls being rough instead of smooth, he is more likely to form blockages from blood clotting. I take Aspirin AND Plavix (Clopidogrel) to act in 2 different ways on clotting. This reduces the risk of heart attacks a lot. IF any of his plaque increases and tightens blockages it will be a gradual process, not an instant thing. This is why he must get used to the things his body are telling him, but this comes naturally. Oddly enough, some days you feel terrible and are close to thinking about going to the hospital but the next day you feel much better. This can be because tiny vessels open up on the surface of the heart to cause natural bypasses. I have had a triple bypass and 10 stents now, all in the last 7 years. I think there are just 2 stents still open and I am basically in the same situation I was in 7 years ago. If I could go back in time, believe me, I would have none of the intervention. For some it works, but for many it doesn't. I really hope your Father does well and I have a feeling he will shock many people including the professionals.

[Manikandanravi]

Thanks a lot sir, You are a prof. We approched one more senior doctor and he didnt say it is critical, however ask us to proceed with medical management for next 1 month. May be he wouldn't like to hurt us saying he is in critical condition.

I know he is in critical stage but as a Son I am in a difficult position that I can't help him much.

Is it life threating anytime ?

Just a small question. How long do you think he can lead a life with proper medince, food and exercise.